NZSSI Booking Form
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Email *
Name (First and Last) *
Street Address *
City *
Country *
Region *
Contact Phone number *
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Course / Trip Name *
Number of people you are booking for (including yourself): *
If you are booking for more than yourself, please enter the names and age of those in your party.
If you are booking for more than yourself, please enter your party members' email addresses.
Do you (or anyone in your party) have any dietary requirements? (Please be specific about allergies vs dietary choices): *
Due to the remote location of Temple Basin we need to order food days in advance of your arrival. Therefore it is crucial that you communicate your dietary requirements to us ahead of time. We are happy to cater for different dietary choices given advance notice but please understand that we cannot guarantee that there is no cross contamination, or trace amounts of allergens etc in our meals. If you have a serious food allergy we need to know this in advance. Your understanding is appreciated.
If you (or your party members) have dietary requirements please provide details:
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